针对性护理在卵巢癌术后深静脉血栓患者中的应用效果分析

Application effect analysis of targeted nursing in patients with deep vein thrombosis after ovarian cancer surgery

目的分析针对性护理在卵巢癌术后深静脉血栓患者中的应用效果。方法选取本院收治的卵巢癌术后深静脉血栓患者72例为研究对象,根据随机数字表法分为两组,每组36例。观察组采用针对性护理,对照组采用常规护理。比较两组患者护理前后的凝血功能及生活质量,并比较两组患者对护理的评价。结果护理前,两组的纤维蛋白原降解产物(FDP)、D-二聚体(D-D)、纤维蛋白原(Fbg)、凝血酶原时间(PT)及血小板计数(PLT)水平比较,差异无统计学意义(P>0.05);护理后,观察组的FDP、D-D、Fbg、PLT、PT水平分别为(2.89土0.69)mg/L、(205.78±11.63)ng/L、(2.09±0.43)g/L、(217.25±18.06)×10^(9)/L,(14.24±2.23)s,均优于对照组的(3.37±0.72)mg/L、(227.66±10.24)ng/L,(2.27±0.51)g/L、(182.47±15.12)×10^(9)/L、(12.14±2.24)s,差异有统将意义(P<0.05)。护理后,观察组的各项健康调查简表(SF-36)评分均高于对照组,差异有统计学意义(P<0.05)。观察组的各项护理评价评分均高于对照组,差异有统计学意义(P<0.05)。结论卵巢癌术后深静脉血栓患者采用针对性护理可改善凝血功能指标,提高生活质量,患者对护理服务的评价较高,值得临床推广使用。

Objective To analyze the application effect of targeted nursing in patients with deep vein thrombosis after ovarian cancer surgery.Methods A total of 72 patients with deep vein thrombosis after ovarian cancer surgery treated in our hospital were selected and divided into two groups according to the random number table method,with 36 cases in each group.The observation group received targeted nursing,while the control group received routine nursing.The blood coagulation function and quality of life before and after nursing were compared between the two groups,and the evaluation of nursing was compared between the two groups.Results Before nursing,there were no significant differences in the levels of fibrinogen degradation products(FDP),D-dimer(D-D),fibrinogen(Fbg),prothrombin time(PT)and platelet count(PET)between the two groups(P>0.05);after nursing,the levels of FDP,D-D,Fbg,PLT,PT in the observation group were(2.89±0.69)mg/L,(205.78±11.63)ng/L,(2.09±0.43)g/L,(217.25±18.06)×10^(5)/L,(14.24±2.23)s,which were better than(3.37±0.72)mg/L,(227.66±10.24)ng/L,(2.27±0.51)g/L,(182.47±15.12)×10^(9)/L,(12.14±2.24)s in the control group,the differences were statistically significant(P<0.05).After nursing,the the MOS item short from health survey(SF-36)scores in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The nursing evaluation scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Targeted nursing for patients with deep vein thrombosis after ovarian cancer surgery can improve coagulation function indexes and quality of life.Patients have high evaluation of nursing service,which is worthy of clinical application.